| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
83,935 |
65,188 |
$17.48M |
| 00003 |
Internal/system code - not a standard HCPCS code |
16,549 |
12,103 |
$3.96M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,992 |
24,950 |
$69K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15,324 |
11,289 |
$10K |
| 0012A |
|
242 |
132 |
$8K |
| 0011A |
|
239 |
143 |
$7K |
| 0001A |
|
185 |
115 |
$7K |
| 0002A |
|
138 |
112 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,149 |
2,132 |
$3K |
| 0071A |
|
59 |
59 |
$2K |
| 0072A |
|
39 |
39 |
$2K |
| 0031A |
|
46 |
25 |
$1K |
| 99000 |
|
6,633 |
6,272 |
$801.27 |
| 0004A |
|
16 |
16 |
$570.25 |
| 81025 |
|
255 |
248 |
$484.40 |
| 90715 |
|
568 |
565 |
$252.66 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,230 |
4,127 |
$228.94 |
| 99382 |
|
124 |
119 |
$157.20 |
| 92551 |
|
430 |
422 |
$135.52 |
| 92552 |
|
1,071 |
1,009 |
$120.73 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,455 |
1,357 |
$91.23 |
| 99384 |
|
197 |
193 |
$65.12 |
| 99201 |
|
205 |
205 |
$55.80 |
| 99383 |
|
364 |
357 |
$54.83 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
147 |
147 |
$33.96 |
| 85018 |
|
814 |
775 |
$16.44 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,106 |
2,059 |
$12.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
194 |
192 |
$12.00 |
| 90633 |
|
443 |
435 |
$6.00 |
| 90696 |
|
83 |
82 |
$6.00 |
| 81003 |
|
90 |
76 |
$3.14 |
| 96160 |
|
2,271 |
2,150 |
$0.00 |
| 90734 |
|
292 |
289 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
127 |
120 |
$0.00 |
| 90681 |
|
120 |
120 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
538 |
512 |
$0.00 |
| 90670 |
|
621 |
615 |
$0.00 |
| 99173 |
|
1,580 |
1,501 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
841 |
802 |
$0.00 |
| 81002 |
|
51 |
50 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
725 |
691 |
$0.00 |
| 3077F |
|
92 |
89 |
$0.00 |
| 3078F |
|
150 |
137 |
$0.00 |
| 90710 |
|
168 |
165 |
$0.00 |
| 90707 |
|
85 |
85 |
$0.00 |
| Z6400 |
|
206 |
199 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
72 |
67 |
$0.00 |
| 90700 |
|
112 |
112 |
$0.00 |
| 83655 |
|
247 |
237 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
143 |
119 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
583 |
572 |
$0.00 |
| 90713 |
|
79 |
79 |
$0.00 |
| 99401 |
|
25 |
25 |
$0.00 |
| 92015 |
Determination of refractive state |
22 |
12 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
361 |
357 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
131 |
131 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
200 |
199 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
28 |
28 |
$0.00 |
| 90461 |
|
17 |
16 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$0.00 |
| 90473 |
|
59 |
59 |
$0.00 |
| 90750 |
|
12 |
12 |
$0.00 |
| G8780 |
Counseling for diet and physical activity performed |
40 |
40 |
$0.00 |
| 82948 |
|
13 |
12 |
$0.00 |
| 03 |
Instill, bupivac and meloxic |
19 |
18 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
19 |
19 |
$0.00 |
| 96161 |
|
57 |
57 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
461 |
385 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,286 |
3,878 |
$0.00 |
| 90647 |
|
361 |
358 |
$0.00 |
| 90686 |
|
1,343 |
1,330 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,820 |
2,687 |
$0.00 |
| 3079F |
|
86 |
83 |
$0.00 |
| Z1034 |
|
2,352 |
1,585 |
$0.00 |
| 90723 |
|
347 |
342 |
$0.00 |
| 1220F |
|
383 |
350 |
$0.00 |
| Z6410 |
|
611 |
487 |
$0.00 |
| 3351F |
|
124 |
117 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
311 |
302 |
$0.00 |
| 99385 |
|
129 |
128 |
$0.00 |
| Z1038 |
|
164 |
144 |
$0.00 |
| 2001F |
|
182 |
162 |
$0.00 |
| Z6406 |
|
83 |
80 |
$0.00 |
| 3080F |
|
29 |
29 |
$0.00 |
| 3008F |
|
656 |
525 |
$0.00 |
| 90620 |
|
36 |
36 |
$0.00 |
| 3074F |
|
170 |
155 |
$0.00 |
| 1031F |
|
306 |
294 |
$0.00 |
| Z1032 |
|
195 |
195 |
$0.00 |
| 90651 |
|
491 |
481 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
236 |
216 |
$0.00 |
| 99381 |
|
34 |
34 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
180 |
177 |
$0.00 |
| 90716 |
|
203 |
198 |
$0.00 |
| 85013 |
|
13 |
13 |
$0.00 |
| 90744 |
|
55 |
55 |
$0.00 |
| 97802 |
|
38 |
35 |
$0.00 |
| 81000 |
|
47 |
45 |
$0.00 |
| 96150 |
|
27 |
27 |
$0.00 |
| 99172 |
|
13 |
12 |
$0.00 |
| 3075F |
|
13 |
13 |
$0.00 |
| J3490 |
Unclassified drugs |
13 |
13 |
$0.00 |
| 90688 |
|
19 |
18 |
$0.00 |